Provider First Line Business Practice Location Address:
3444 PLAZA AVE.
Provider Second Line Business Practice Location Address:
THE LITTLE CLINIC
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-730-4204
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2011